John a Grimaldi DO Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

20A11355 Issued in CA

Legal business name

JOHN A GRIMALDI DO INC

Practice address

450 4TH Ave
Sutie 312
Chula Vista, CA 91910-4426

Phone

(619) 420-0201

NPI assigned

Aug 31, 2010

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John A Grimaldi, DONPI 1821157033

Title

President

Phone

(619) 420-0201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Alexander Grimaldi, D.O.

  • Urology Physician
  • Chula Vista, CA
  • NPI 1821157033
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1982910741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "SUTIE 312",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104426",
            "telephone_number": "619-420-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "SUTIE 312",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104426",
            "telephone_number": "619-420-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A GRIMALDI DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "GRIMALDI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-420-0201",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "20A11355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.